| Name: | Advanced Women's Healthcare, PLLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Oct 2006 (18 years ago) (Companies founded in October 2006) |
| Entity Number: | 000-485-442 |
| Register Number: | 000485442 |
| ZIP code: | 35045 (Companies in Chilton, 35045) |
| County: | Chilton |
| Place of Formation: | Chilton County |
| Principal Address: | CLANTON, AL |
| Registered Office Street Address: | 1015 LAY DAM RDCLANTON, AL 35045 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740342070 | 2006-12-14 | 2020-08-22 | 1015 LAY DAM RD, CLANTON, AL, 350452305, US | 1015 LAY DAM RD, CLANTON, AL, 350452305, US | |||||||||||||||||||||||||
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| Phone | +1 205-755-1031 |
| Fax | 2057395555 |
Authorized person
| Name | MS. TJ MOORE |
| Role | OFFICE MANAGER |
| Phone | 2057551031 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 15177 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1700804242 |
| State | AL |
| Name | Role |
|---|---|
| MOORE, WILLIAM H JR | Agent |
| Name | Role |
|---|---|
| MOORE, WILLIAM H JR | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
